Organization
KIDS STATION PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD FRANCIS MORDAVSKY MD (CEO)
(860) 643-7973
Entity
Organization
Contact information
Practice address
191 MAIN ST, MANCHESTER, CT 06042-3556
(860) 643-7973
(860) 643-0175
Mailing address
191 MAIN ST, MANCHESTER, CT 06042-3556
(860) 643-7973
(860) 643-0175
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004132651
—
CT
Enumeration date
06/25/2007
Last updated
10/08/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us